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1255169009
MICHAEL JACKSON
LAS VEGAS, NV
NPI
1255169009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
MICHAEL JACKSON
3301 SPRING MOUNTAIN RD STE 16
LAS VEGAS, NV 89102-8649
Phone number: 702-362-3113
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Mailing Address
MICHAEL JACKSON
3301 SPRING MOUNTAIN RD STE 16
LAS VEGAS, NV 89102-8649
Phone number: 702-362-3113
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